Southfork Medical Clinic Pllc in Whitley City - Specialist
Southfork Medical Clinic Pllc - NPI 1295718757
Southfork Medical Clinic Pllc is a Specialist in Whitley City, Kentucky. Southfork Medical Clinic Pllc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Southfork Medical Clinic Pllc is 1295718757. The last update date is 2011-08-23.
Southfork Medical Clinic Pllc's current location address is 71 Medical Ln, Whitley City, Kentucky. You can contact this provider via phone number 6063767212 and fax number 6063767216. The mailing address for Southfork Medical Clinic Pllc is 71 Medical Ln, Whitley City, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southfork Medical Clinic Pllc |
|---|---|
| Address | 71 Medical Ln, Whitley City, Kentucky |
| Phone Number | 6063767212 |
| Fax Number | 6063767216 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Pimentel Francis |
| Credentials | MD |
| Telephone Number | 6063767212 |
NPI Number Detail
| NPI Number | 1295718757 |
|---|---|
| Provider Enumeration Date | 2005-11-29 |
| Last Updated Date | 2011-08-23 |
Provider Mailing Address Detail
| Address | 71 Medical Ln |
|---|---|
| City | Whitley City |
| State | Kentucky (KY) |
| Post Code | 426534216 |
| Phone Number | 6063767212 |
| Fax Number | 6063767216 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7396 | KY | MEDICARE B | |
| 35001593 | KY | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Southfork Medical Clinic Pllc by the Centers for Medicare & Medicaid Services?
The Southfork Medical Clinic Pllc has been issued the NPI (National Provider Identifier) 1295718757. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Southfork Medical Clinic Pllc located?
The Southfork Medical Clinic Pllc is located at 71 Medical Ln, Whitley City, KY 426534216.
What is Southfork Medical Clinic Pllc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Southfork Medical Clinic Pllc is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1295718757 to Southfork Medical Clinic Pllc?
The Centers for Medicare & Medicaid Services originally issued the 1295718757 to Southfork Medical Clinic Pllc on 2005-11-29.
When was the Southfork Medical Clinic Pllc's information last updated?
The Southfork Medical Clinic Pllc's information was last updated on 2011-08-23.
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